Evidence map›Paper›PMID 32594163›Full record

ArticleEuropean heart journal. Cardiovascular Imaging2020

Sex-specific relationships between patterns of ventricular remodelling and clinical outcomes.

Robert J H Miller, Yoko Mikami, Bobak Heydari, Stephen B Wilton, Matthew T James, Andrew G Howarth, James A White, Carmen P Lydell

Open access · bronzeAbstract read
PubMed Publisher
In one paragraph

Article in European heart journal. Cardiovascular Imaging, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
2.4field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.

  1. Pooled it
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  4. Sex-specific structural and functional cardiac remodeling during healthy aging assessed by cardiovascular magnetic resonance.Clinical research in cardiology : official journal of the German Cardiac Society · 2025
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  14. Myocardial mechanical function measured by cardiovascular magnetic resonance in patients with heart failure.Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance · 2024
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 1 institution in 2 countries.

Robert J H MillerStephenson Cardiac Imaging Centre, Department of Cardiac, Libin Cardiovascular Institute of Alberta, University of Calgary, Calgary, AB, Canada.
Yoko MikamiStephenson Cardiac Imaging Centre, Department of Cardiac, Libin Cardiovascular Institute of Alberta, University of Calgary, Calgary, AB, Canada.
Bobak HeydariStephenson Cardiac Imaging Centre, Department of Cardiac, Libin Cardiovascular Institute of Alberta, University of Calgary, Calgary, AB, Canada.
Stephen B WiltonDepartment of Cardiac Sciences, University of Calgary, Calgary, AB, Canada.
Matthew T JamesDepartment of Cardiac Sciences, University of Calgary, Calgary, AB, Canada.
Andrew G HowarthStephenson Cardiac Imaging Centre, Department of Cardiac, Libin Cardiovascular Institute of Alberta, University of Calgary, Calgary, AB, Canada.
James A WhiteStephenson Cardiac Imaging Centre, Department of Cardiac, Libin Cardiovascular Institute of Alberta, University of Calgary, Calgary, AB, Canada.
Carmen P LydellStephenson Cardiac Imaging Centre, Department of Cardiac, Libin Cardiovascular Institute of Alberta, University of Calgary, Calgary, AB, Canada.
University of Calgary · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsLeft ventricular hypertrophy (LVH) is the most common form of myocardial remodelling and predicts adverse outcomes in patients with coronary artery disease (CAD). However, sex-specific prevalence and prognostic significance of LVH patterns are poorly understood. We investigated the sex-specific influence of LVH pattern on clinical outcomes in patients undergoing cardiovascular magnetic resonance (CMR) and coronary angiography following adjustment for co-morbidities including CAD burden. METHODS AND

resultsPatients undergoing CMR and coronary angiography between 2005 and 2013 were included. Volumetric measurements of left ventricular (LV) mass with classification of concentric vs. eccentric remodelling patterns were determined from CMR cine images. Multivariable Cox analysis was performed to assess independent associations with the primary outcome of all-cause mortality. In total, 3754 patients were studied (mean age 59.3 ± 13.1 years), including 1039 (27.7%) women. Women were more likely to have concentric remodelling (8.1% vs. 2.1%, P < 0.001), less likely to have eccentric hypertrophy (15.1% vs. 26.8%, P < 0.001) and had a similar prevalence of concentric hypertrophy (6.1 vs. 5.2%, P = 0.296) compared to men. At a median follow-up of 3.7 years, 315 (8.4%) patients died. Following adjustment including CAD burden, concentric hypertrophy was associated with increased all-cause mortality in women [adjusted hazard ratio (HR) 3.48, P < 0.001] and men (adjusted HR 2.57, P < 0.001). Eccentric hypertrophy was associated with all-cause mortality only in women (adjusted HR 1.78, P = 0.047).

conclusionPatterns of LV remodelling differ by sex and LVH and provides prognostic information in both men and women. Our findings support the presence of sex-specific factors influencing LV remodelling.

Indexed as

Hypertrophy, Left VentricularVentricular RemodelingAgedFemaleHumansMaleMiddle AgedMyocardiumPrognosisProportional Hazards ModelsSex FactorsCoronary diseaseLeft ventricular geometryLeft ventricular hypertrophyMagnetic resonance imaging

Identifiers

PMID32594163
OpenAlexW3038114276

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.